Clinical features may suggest a basal skull fracture even in the absence of a positive skull x-ray.
Evidence of anterior fossa fracture:
Evidence of petrous temporal fracture:
A basal skull fracture provides a route for infection. Antibiotics are given to prevent meningitis; the course lasts at least seven days, or if there is a CSF leak, until seven days after this has ceased.
NICE state that (1)
Base of open or depressed skull fracture or penetrating head injury
Reference:
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